Nerve Sparing Surgery

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Bob D
Regular Member

Date Joined Mar 2008
Total Posts : 199
   Posted 7/30/2008 12:09 AM (GMT -6)   
I believe the wide and varied results from nerve sparing surgery when removing the
prostate is that some surgeons perform nerve sparing and some just say they
spared the nerves. How would one know what was really done during the surgery?
Age 59, psa 4.7 in Jan. 08. Biopsy: one positive sample out of 13. 1% of one sample cancer. Prostate removed on 3/5/08. Open Surgery. Northeast Georgia Medical Center, Gainesville Ga. Nerves spared. Cath out 12 days later. Continence good. No pads needed since 6/10/08. First PSA: Less than 0.1 on 6/17/08. First erection five days post op and have been improving well since then. Full erection now possible (less than four months post op) with the assistance of Cialis. I am pleased with the progress so far. Married to same wonderful woman for 39 years.
She is still beautiful and sexy as ever. A great help in my recovery !!

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 7/30/2008 6:21 AM (GMT -6)   
You have to trust your surgeons, and expect that they actually do what they say -- which I am sure will be 99% of the time.

I think it more likely that the nerves can take a beating depending on how easy they are to detach from the prostate. The amount of damage can vary widely, and probably is not always evident at the time of surgery.

In your case, it's safe to assume not much damage :-)
Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Regular Member

Date Joined Sep 2006
Total Posts : 211
   Posted 7/30/2008 7:16 AM (GMT -6)   

 so that is why you pick a good surgeon"  YES

 The general rule of thumb for robotic surgery"  ROBOTIC SURGERY IS NOT NECESSARILY BEST

 is someone with 300 or more surgeries"  A HIGH NUMBER DOESN'T NECESSARILY MAKE THEM GOOD. 

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